In the hospital I am attending as a patient I spoke with a girl who has abbreviation LPN- Licensed Nurse Practioner she answered. May be it make sense to add --in OBGN.(Obsttrian and Gynecology) Americans like abbreviations in Medical area especially. Examples: ENT doctor-Ear Nose Throat, EM- Emergrncy Room, etc.

Below is a site defining various categories of nurses (USA). I don't know where акушерка falls in this classification but I doubt if it is Nurse Practitioner as that requires graduate studies leading to a Masters Degree and the акушерка's training program was only three years.

http://stats.bls.gov/oco/ocos083.htm

This is a tricky question obviously. I would refrain from using a title that implies either certification or licensing since these obviously don't factor in here.

http://www.kcl.ac.uk/nursing/becoming/index.html

Очень интересный вопрос. У меня за долгие годы так и не сложилось ясности в переводе licensed nurse, certified nurse, nurse practitioner, etc.

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Note added at 48 mins (2005-07-06 15:06:47 GMT)
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Может быть, Роберт прав. Можно попробовать, что-то типа graduate nurse specializing in midwifery. And, I agree with Robert that it is better to avoid words registered, licensed, certified ...

Перед поступлением в институт я закончила медучилище в г.Николаеве. У нас была группа акушерок,я знаю, что собой представляет эта специализация не понаслышке. Это обычные медсестры(по уровню образования и кругу обязанностей/ответственности), только нацеленные на работу в родильных домах. Midwife здесь имеет несколько иное значение.
Вот обратите внимание - это к ней не относится:
http://www.useic.ru/study/apply/nursing.htm
A licensed practical nurse (L.P.N.) program involves one to one and a half years of nursing training at a state-approved vocational technical school or community college.
А это подходит:Programs last two academic or calendar years, combining nursing courses and supportive college courses, and award either an A.A.S. (Associate of Applied Science) or an A.S. (Associate of Science). Upon completion of a state-approved program, a graduate is eligible to take the state licensure examination to become a registered nurse.

Specialization. Nursing specialties exist in a wide range of areas, including oncology nursing, medical-surgical nursing, pediatric nursing, obstetric nursing, and critical care nursing. There are specific requirements for certification in nursing specialization that are determined by the particular specialty.
А вот что значит *nurse midwifery*:For some specialties, such as nurse midwifery, a combined R.N./master's program is available to non-nurses who have a baccalaureate degree.

http://stats.bls.gov/oco/ocos083.htm
At the advanced level, nurse practitioners provide basic, primary healthcare. They diagnose and treat common acute illnesses and injuries. Nurse practitioners also can prescribe medications—but certification and licensing requirements vary by State. Other advanced practice nurses include clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives. Advanced practice nurses must meet educational and clinical practice requirements beyond the basic nursing education and licensing required of all RNs.
Исходя из всего того, что приведено выще, мне кажется, что Nurse practitioner - это слишком много люязанностей для медсестры, получившей образование медучилища,не предназначенной для того, чтобы самостоятельно принимать решения (такова роль медсестры ).
Но RN можно написать, не упоминая об акушерстве, если она не хочет( поэтому я заключила это слово в скобки). Греха не будет- они все получают приблизительно одинаковый объем знаний после медучилища (фельдшерско-акушерское отделение). Ей все равно придется получать лицензию, сдавать экзамены, поэтому Вы не рискуете при переводе.

There are several problems here:

--Nurse practitioner and nurse midwife in the US both involve specific education and licensing processes. Whatever happens wherever the client comes from in not directly comparable.

--Nurse practitioners in the US can have a variety of specialties, obstetrics, anesthesiology, hospice.... so you need a term that covers this person's specific backgroun.

--Nurse practitioners in the US have more education than a nurse and less than a doctor. Some nurses actually do not have a bachelor's degress, and I am not sure of the precise educational requirements for nurse practitioners.


The variant I like best if this is to be translation and it reflects this person's academic background is "nurse-midwife." One reason I like this term is that it is suitably vague about questions of education, licensing and rights to practice which will be subject to specific regulations in other countries anyway.

I would not follow the recommendations of девушка и ее канадский муж as they are not translators and this is a translator (not them) who is responsible for adequate rendering of the original. Especially with regard to medical field practitioners and relevant requirements which exist in Canada.
Translator can add a note in the certif. letter, but I believe 'nurse practitioner' is far more wider definition then qualification - "специальность - акушерка".

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Note added at 12 hrs 41 mins (2005-07-07 03:00:02 GMT)
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Re: Я посмотрел здешние программы и в принципе мне кажется что они похожи - well, as far as I understand, you are not providing assessment for educational credentials, matching them against the Canadian ones, but translating what was submitted. Based on the translation, the relevant federal\\provincial body which is empowered to do assessments for foreign medical credentials might do the relevant assessment, if required. I would not go into it as I am not medical, but a language professional, so medicine is not my turf :-).
That\'s how I see it and how I would proceed. Thanks.

По-моему, наши медсестры соответствуют "medical assistant" или "physician assistant", но никак не Registered Nurse. Есть вот такая специализация: Physician Assistant Midwife.

"Physician-Assistant Midwife: A physicians assistant who has had additional training in midwifery. A physicians assistant is a health care professional licensed to practice medicine with physician supervision. Ordinary tasks include conducting physical exams, assisting in surgery, and writing prescriptions. Additional training may involve an 18-month to 2-year course of study in family medicine that includes extensive clinical training. They may work in hospitals, clinics, or private practices with direct or indirect physician supervision."

http://www.estronaut.com/a/midwives_info.htm


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Note added at 20 hrs 38 mins (2005-07-07 10:56:43 GMT)
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Лучше наверное, \"medical assistant/midwife\". \"Physician assistant\" - это тоже уже более серьезное образование и круг обязанностей.

\"Medical Assistants work under the supervision of physicians in their offices or other medical settings... The clinical duties of a Medical Assistant may include taking patient histories and vital signs, preparing patients for procedures, collecting and processing specimens, and preparing and administering medications as directed by the physician. \"
http://www.ichs.uaa.alaska.edu/careerguide/careers/medassist...